Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $54.95 / $131.83	Facility		$36.31	$54.95	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $190.55	Professional		$19.05	$28.18	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $77.62 / $104.71	Facility		$47.86	$77.62	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $52.48	Professional		$19.50	$29.51	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $75.86	Professional		$29.51	$63.10	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $40.74	Facility		$29.51	$29.51	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $58.88	Professional		$29.51	$36.31	$58.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $66.07	Facility		$29.51	$29.51	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $97.72	Facility		$28.18	$41.69	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $79.43	Professional		$29.51	$36.31	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $120.23	Facility		$43.65	$87.10	$120.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $37.15	Professional		$21.88	$29.51	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $46.77	Facility		$35.48	$35.48	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $40.74	Professional		$12.30	$16.60	$40.74